Ƙungiyar hip ɗin suna samun nauyi mafi girma a cikin jiki. An halicce su da nauyi yayin tafiya, tsalle, gudu, ɗagawa da ɗaukar abubuwa masu nauyi. Marasa lafiya sukan ji zafi a cikin haɗin gwiwa na hip. Likitocin kasusuwa a wani asibiti na musamman ne ke tantance dalilinsa ta hanyar amfani da na’urorin tantancewa na zamani. Likitoci sun ƙayyade matakin lalacewar haɗin gwiwa, wanda ke ba su damar yin daidaitaccen ganewar asali da kuma haɓaka dabarun magani mafi kyau.
Kwararrun likitoci suna ba da magani mai mahimmanci ga cututtuka da ke haifar da ciwo a cikin haɗin gwiwa na hip. An zaɓi marasa lafiya daban-daban magunguna masu tasiri waɗanda ke shafar dalilin da tsarin ci gaban ciwo. Kwararrun asibitocin gyaran gyare-gyare suna ba da aikin gyaran jiki ta hanyar amfani da sababbin hanyoyin gyaran physiotherapeutic, gyaran jiki, da acupuncture. Kasancewar simulators na musamman yana ba ku damar rage nauyin haɗin gwiwa yayin horo.
A cikin aiwatar da maganin ciwo a cikin haɗin gwiwa na hip, likitoci daga wurare da yawa na magani sun hada da: endocrinologists, rheumatologists, orthopedists, physiotherapists, chiropractors, acupuncturists. Hanya mai yawa don maganin ciwo a cikin haɗin gwiwa na hip yana ba da damar saurin jin zafi. Marasa lafiya da ke fama da cututtukan cututtukan cututtukan hanji galibi suna buƙatar kulawar waje.
Dalilai
Ciwo a cikin haɗin gwiwa na hip yana haifar da matakai masu zuwa:
- Tendinitis (kumburi na tendons);
- Rushewar tsoka;
- Iliotibial band ciwo;
- Sauran canje-canje na gida a cikin kyallen takarda;
- Cututtuka na tsarin (rheumatoid arthritis, polymyalgia).
Saboda gluteus medius da tsokoki na minimus suna taka muhimmiyar rawa wajen sace hip, lalacewar su yana haifar da ciwon hip. Matsakaicin gluteus da ƙananan tendons suna haɗe zuwa mafi girma trochanter. Idan tsarin kumburi yana tasowa a cikin su saboda microtraumas wanda ya haifar da nauyin nauyi, mai haƙuri zai damu da ciwo a cikin haɗin gwiwa na hip. Ana iya haifar da irin wannan rashin lafiya ta hanyar kamuwa da cuta (cututtukan tarin fuka), wasanni ko damuwa na ƙwararrun ƙwararru, ko sanya lu'ulu'u.
Ciwon hip shine alamar cututtuka masu zuwa:
- Osteoarthrosis;
- Radicular ciwo;
- Rheumatoid amosanin gabbai;
- Coxita.
Ciwo a cikin haɗin gwiwa na hip yana iya damun mutanen da suke da kiba, suna da tsayin ƙafafu daban-daban, ko kuma suna da ƙafar ƙafa. Ciwon ciwo zai iya faruwa bayan ƙananan sassa na hannu ko maye gurbin hip. Tare da avascular necrosis na kai da kuma karaya na wuyan mata, marasa lafiya suna koka da ciwo mai tsanani a cikin haɗin gwiwa na hip. Ciwon ciwo sau da yawa yana tasowa tare da dysplasia (rashin lafiyar tsarin jiki) na haɗin gwiwa na hip. M ciwo mai tsanani a cikin haɗin gwiwa na hip, yana haskakawa zuwa kafa, yana faruwa a cikin yanayin jijiyoyi masu tsinke saboda cututtuka na kashin baya, mummunan ciwon daji, da canje-canje masu alaka da shekaru.
Hanyoyin gwaji
A lokacin shawarwarin farko, masu ilimin rheumatologists suna gudanar da cikakken nazarin majiyyaci:
- Tarin gunaguni, bayanin yanayin zafi a cikin haɗin gwiwa na hip;
- Samun bayanai game da yanayin cutar, fara jin zafi, ci gaba da ciwo, abubuwan gida da na sana'a wanda, a ra'ayin mai haƙuri, ya haifar da ciwo;
- Binciken waje yana ba da damar likita don ƙayyade bambance-bambancen bayyane daga al'ada. Don fahimtar yanayin zafi da yankin yaduwa, likita ya tambayi mai haƙuri don yin motsi daban-daban na ƙananan ƙafa a cikin haɗin gwiwa. Kasancewar ilimin cututtuka na haɗin gwiwa na hip yana iya nunawa ta hanyar rashin kyau;
- Palpation (ji). Likita zai iya samun rheumatoid da rheumatic nodules, gano ainihin wurin da zafi a lokacin motsi na ƙafafu, ƙayyade zafi da zafin jiki na fata a cikin yankin haɗin gwiwa na hip.
Bayan haka, likita yana gudanar da goniometry - jarrabawa ta amfani da na'urar goniometer. Yana ba ku damar ƙayyade kewayon motsi na haɗin gwiwa. Sannan likitan ilimin rheumatologist ya rubuta gwajin jini na asibiti da na halitta da gwajin fitsari na gaba daya. Ma'aikatan dakin gwaje-gwaje na asibitin suna gudanar da bincike ta hanyar amfani da reagents masu inganci da kayan aiki na zamani, wanda ke ba ka damar samun ingantaccen sakamakon gwaji.
Tare da kumburi da haɗin gwiwa na hip, yawan adadin leukocytes a cikin jini yana ƙaruwa kuma ƙwayar erythrocyte sedimentation yana ƙaruwa. Ana nuna yanayin kumburin cutar ta hanyar haɓaka abun ciki na furotin C-reactive a cikin jini.
Gwajin jini na rigakafi yana nuna kasancewar ƙwayoyin rigakafin ƙwayoyin cuta a cikin jini a cikin cututtukan kumburin rheumatic. A cikin marasa lafiya da ke fama da ciwon huhu, ƙwayar uric acid a cikin jini yana ƙaruwa sosai. Abubuwan da ke cikin lysosomal enzymes (acid proteinase, acid phosphatase, cathepsins, deoxyribonuclease) a cikin jini da kuma canjin ruwa na synovial a cikin marasa lafiya tare da rheumatism, psoriatic polyarthritis, rheumatism, da ankylosing spondylitis. A cikin nau'i mai tsanani na cututtukan haɗin gwiwa na hip, ana lura da sauye-sauye masu mahimmanci daga al'ada a cikin bincike na fitsari.
Likitoci a asibitin suna gudanar da gwajin x-ray na marasa lafiya da ciwon hip. Ana nuna shi a cikin waɗannan lokuta:
- Kasancewar ciwo mai tsanani ko ciwo mai tsanani a cikin haɗin gwiwa na hip a hutawa da lokacin motsi;
- Abubuwan da ke faruwa na matsaloli lokacin motsi ƙananan ƙafa;
- Bayyanar kumburi da canza launin fata a yankin haɗin gwiwa na hip.
Yin amfani da ƙididdigar ƙididdiga, likitoci a asibitin suna kimanta ƙasusuwan da ke shiga cikin haɗin gwiwa na hip. A kan lissafta tomogram, likitan rediyo ya sami canje-canje a cikin tsarin nama na kasusuwa, ci gaban cartilaginous, da osteophytes.
Yin amfani da hoton maganadisu na maganadisu, likitoci suna kimanta yanayin kyawu masu laushi waɗanda ke kewaye da haɗin gwiwa na hip.
Hanyoyin bincike na Radionucleotide suna ba da damar gane cututtukan cututtuka ta hanyar amfani da magungunan radiopharmacological.
Ana yin nazarin duban dan tayi na haɗin gwiwa na hip don raunuka, cututtuka masu kumburi, rheumatism da rheumatoid arthritis. Likitan da ke halarta daban-daban ya zaɓa a kowane hali hanyoyin bincike da ake bukata don sanin dalilin ciwo a cikin haɗin gwiwa na hip.
ganewar asali daban-daban
Jin zafi a cikin haɗin gwiwa lokacin tafiya shine babban gunaguni wanda marasa lafiya suka tuntubi likita. Yana iya kasancewa a cikin yankin haɗin gwiwa ko kuma ya miƙe zuwa cinya, gindi, ko haɗin gwiwa. Idan ciwo ya faru a cikin haɗin gwiwa na hip yayin motsi, ana tilasta mai haƙuri ya yi amfani da sanda. Sau da yawa, saboda ciwo, akwai ƙayyadaddun motsi a lokacin motsi na haɗin gwiwa, musamman ma lokacin da waje da ciki ke juyawa ƙafa.
Jin zafi a cikin haɗin gwiwa na hip, gindi da yanki shine alamar aseptic necrosis na shugaban mata. Ana danganta cutar sau da yawa tare da yin amfani da magungunan hormonal na dogon lokaci da barasa. Tare da ci gaba da nakasar gashin mata, motsi na haɗin gwiwa na hip yana iyakance. A farkon mataki na tsarin pathological, kewayon motsi na iya zama al'ada.
Jin zafi a cikin ɓangaren baya na haɗin gwiwa na hip da danna sautunan yayin motsi haɗin gwiwa yana damun marasa lafiya da ke fama da bursitis iliopectineal. Yana haskakawa zuwa cinya kuma yana tare da paresthesia (tingling, konewa, rarrafe) saboda matsawa na jijiyar femoral. Mai haƙuri yana jin zafi a cikin haɗin gwiwa lokacin da yake jujjuyawa da kuma shimfiɗa ƙananan ƙafa. Har ila yau, an gano ciwo a kan zurfin palpation a cikin yanki na triangle na mata (wani abu da aka iyakance ta hanyar ligament na inguinal, gefen waje na doguwar tsoka mai tsayi, gefen ciki na tsokar sartorius).
Jin zafi a cikin haɗin gwiwa na waje na waje alama ce ta iliotibial band syndrome. Yana tare da sautin dannawa lokacin motsi, zafi a cikin ɓangaren waje na haɗin gwiwa na gwiwa, wanda ke ƙaruwa tare da motsi.
Roth's myalgia yana bayyana ta hanyar ƙonawa a cikin ɓangaren waje na haɗin gwiwa na hip da cinya, wanda ke ƙaruwa lokacin tafiya da daidaita kafa. Jin zafi a cikin haɗin gwiwar hip yana faruwa tare da dysplasia. Bayan lokaci, mai haƙuri yana haɓaka halayen "duck" gait (yana tafiya, yana tafiya daga gefe zuwa gefe).
Pain tare da coxarthrosis
Pain a cikin haɗin gwiwa na hip yana faruwa tare da coxarthrosis, cutar da ke tattare da tsarin lalacewa a cikin ƙasusuwan da ke haifar da haɗin gwiwa. Sau da yawa cutar tana shafar tsofaffi. Tare da tsufa, ƙwayar guringuntsi na haɗin gwiwa ya rasa ƙarfinsa, ya zama bakin ciki, kuma ya fara lalacewa. Lokacin da nauyin da ke kan haɗin gwiwa ya karu, ƙwayar guringuntsi na bakin ciki ya lalace. Fuskokin bangon kasusuwa suna shafa juna, yana haifar da kumburin aseptic.
Girma yana bayyana akan kasusuwa. Suna mahimmanci iyakance motsi a cikin haɗin gwiwa. Lalacewa daga cikin sassan articular yana tasowa, yana haifar da ciwo mai tsanani. Maganin cutar ya dogara da tsananin lalacewar haɗin gwiwa. Likitoci suna ba da maganin miyagun ƙwayoyi. Idan ba ta da tasiri, ana yin endoprosthetics ko kuma a yi amfani da magani na kashewa.
Bayan tantance dalilin ciwo a cikin haɗin gwiwa na hip, likitoci sun fara magance cutar da ta haifar da ciwo mai zafi. An tattauna batutuwa masu tsanani na cututtuka wanda mai haƙuri ya damu da jin zafi a cikin haɗin gwiwa na hip an tattauna a taron majalisar kwararru tare da halartar furofesoshi, likitoci da 'yan takarar kimiyyar likita, likitoci na mafi girma.
Magani
Wani muhimmin yanayin don samun nasarar maganin cututtuka da ke haifar da ciwo a cikin haɗin gwiwa na hip shine kawar da abubuwan da ke haifar da canje-canjen tsarin a cikin kashi, guringuntsi da laushi mai laushi a cikin yankin haɗin gwiwa. Don ciwo mai tsanani, likitocin rheumatologists na asibiti suna ba da magungunan anti-inflammatory marasa steroidal. Jin daɗin marasa lafiya yana inganta sosai tare da yin amfani da hanyoyin magani na gida - aikace-aikacen waje na gels da man shafawa, faci waɗanda ke ɗauke da magungunan anti-inflammatory marasa steroidal. Suna rage zafi a cikin haɗin gwiwa na hip a lokacin matakai masu kumburi na kyallen takarda (tendinitis, bursitis, epicondylitis), bayan raunin da ya faru.
Idan irin wannan maganin ba shi da tasiri sosai, likitoci suna allurar glucocorticoids a cikin rami na haɗin gwiwa na hip. Ƙungiyar haɗin gwiwa tare da deforming coxarthrosis yana raguwa, yana da wuya a shiga ciki. Saboda wannan dalili, masu ilimin rheumatologists a wani asibiti na musamman suna yin aikin a karkashin kulawar X-ray. A gaban ciwon da ke haifar da kumburi na tsokoki da tendons, ana shigar da hormones na glucocorticoid a cikin kyallen takarda na periarticular.
Don inganta yanayin guringuntsi da rage zafi a cikin haɗin gwiwa na hip, ana amfani da chondroprotectors. Kwas ɗin warkewa yana ɗaukar watanni da yawa. Lokacin da akwai spasm na tsokoki da ke shiga cikin motsi a cikin haɗin gwiwa na hip, ana ba da izinin shakatawa na tsoka don rage sautin tsokoki na kwarangwal.
Magungunan ƙwayoyi suna haɓaka tare da hanyoyin physiotherapeutic. Suna da mahimmanci na biyu don ciwo a cikin haɗin gwiwa na hip. An rage tasirin hanyoyin maganin physiotherapeutic saboda wuri mai zurfi. Mummunan zafi a cikin haɗin gwiwa na hip yana raguwa bayan radiation ultraviolet tare da raƙuman ruwa na matsakaici.
A gaban wani tsari mai kumburi, ana yin aikin farfaɗo mai ƙarfi na centimita mai ƙarfi, jiyya na laser infrared, da ƙarancin ƙarfi UHF. Maganin maganadisu mai ƙarfi mai ƙarfi mai ƙarfi, magani na ozone, farfaɗowar girgiza yana ƙarfafa maidowar nama. Ƙarfin zafi da ke faruwa saboda cututtuka na jini da kuma abinci mai gina jiki na haɗin gwiwa na hip yana raguwa a ƙarƙashin rinjayar nau'o'in nau'i na electrotherapy (fitarwa zuwa igiyoyin ruwa) da duban dan tayi.
Don rage nauyin da ke kan haɗin gwiwa na hip, masu ilimin rheumatologists suna ba da shawara ga marasa lafiya suyi amfani da igiya idan akwai ciwo mai tsanani. Bayan rage tsananin ciwon ciwo, masu gyaran jiki suna gudanar da aikin motsa jiki. An haɓaka saitin motsa jiki ɗaya don kowane majiyyaci don dawo da aikin ƙananan ƙafa da sauri. Lokacin da aka lalata tsarin da ke shiga cikin haɗin gwiwa na hip, zafi zai iya zama mai tsanani wanda kawai hanyar kawar da shi shine maye gurbin haɗin gwiwa tare da endoprosthesis.
An ba da magungunan da ba steroidal anti-kumburi kwayoyi don rage zafi. Jiyya ya dogara da cutar da ke shafar haɗin gwiwar hip. An wajabta majiyyaci chondroprotectors don lalacewar nama na guringuntsi. Likitan orthopedic ya rubuta magani mai mahimmanci, abinci, da motsa jiki don inganta yanayin jini a cikin haɗin gwiwa, mayar da ƙwayar guringuntsi, da kuma kula da motsin haɗin gwiwa. A lokuta masu tsanani, ana buƙatar maye gurbin haɗin gwiwa tare da endoprosthesis, wanda ke inganta yanayin rayuwa sosai kuma yana kawar da ciwo.
Jiyya tare da aikin motsa jiki
Yin amfani da hanyoyin gyaran gyare-gyare a cikin maganin haɗin gwiwa na hip yana ba ku damar kula da motsinsa, inganta yanayin jini a cikin haɗin gwiwa, da kuma hanzarta dawo da nama na guringuntsi. Kwararru a sashen gyaran gyare-gyare suna zaɓar tsarin motsa jiki na motsa jiki tare da la'akari da cututtukan haɗin gwiwa na majiyyaci. Ana gudanar da darussan gyarawa kowace rana a ƙarƙashin kulawar malami. Don gyaran gyare-gyare, ana amfani da na'urori na musamman na musamman, kuma an tsara hanyoyin ilimin motsa jiki tare da ilimin motsa jiki.
Waɗanne cututtuka ke haifar da ciwon haɗin gwiwa
Jin zafi a cikin haɗin gwiwa na hip a gefen dama ko hagu na iya zama alamar necrosis na avascular. Cutar tana tasowa galibi a cikin maza kuma tana shafar haɗin gwiwa ɗaya kawai. Jiyya ya ƙunshi kawar da ciwo, maido da samar da jini zuwa yankin haɗin gwiwa, yanayin al'ada na tsokoki na hannu, da kuma kula da aikin haɗin gwiwa. An wajabta majiyyacin magungunan kashe zafi da magungunan kashe kumburi, bitamin, hanyoyin motsa jiki, da motsa jiki na warkewa. Ana ba da shawarar mai haƙuri ya sa takalman orthopedic kuma ya yi amfani da ƙarin tallafi lokacin motsi.
Dalilin ciwo a cikin haɗin gwiwa na hip yana iya zama tsarin purulent. Amosanin gabbai na purulent na farko yana tasowa lokacin da akwai rauni ko rauni kuma masu kamuwa da cuta sun shiga cikin rami na haɗin gwiwa. Tsarin purulent na biyu yana tasowa lokacin da sepsis ko wakili mai kamuwa da cuta ya shiga haɗin gwiwa daga ƙwayoyin da ke kewaye da abin da tsarin kumburi ya shafa. Don bi da amintaccen hattara mai guba, ƙwararrun ƙwararru suna aiwatar da maganin ƙwayoyin cuta. Idan maƙarƙashiya ta taru a cikin rami na haɗin gwiwa, ana huda haɗin gwiwa na hip, ana fitar da abin da ke ciki, sannan a yi allurar rigakafi a cikin rami na haɗin gwiwa.
Bursitis wani kumburi ne na membrane na haɗin gwiwa. Don rage zafi, likitoci sun ba da umarnin allura na magungunan anti-inflammatory da glucocorticoids. Idan kumburin purulent ya tasowa, an tsabtace rami na periarticular bursa. A lokuta masu tsanani, ta yin amfani da fasaha na endoscopic na tiyata, an cire capsule na haɗin gwiwa, wanda ya yi canje-canjen da ba za a iya canzawa ba.
A cikin osteoporosis, raunin wuyan mata yakan faru sau da yawa. Marasa lafiya suna damuwa da kaifi, zafi mai tsanani lokacin motsi a cikin haɗin gwiwa na hip, wanda ke haskakawa zuwa cinya da cinya na ciki. Kafar ta juya waje. Kumburi da kumburi suna bayyana a yankin haɗin gwiwa na hip. A wannan yanayin, ana gudanar da magani ta hanyar kwararrun likitocin orthopedists.
Ragewar ƙwayar cuta mai rauni yana tare da ciwo a cikin haɗin gwiwa. An rage hip a ƙarƙashin maganin sa barci na gabaɗaya. Ana gano ɓarnawar hanjin da aka haifa nan da nan bayan haihuwa. Yana nuna kanta a matsayin ciwo mai tsanani lokacin yada kafafu da kuma durƙusa gwiwoyi. Ana gudanar da jiyya ta amfani da sifofi na musamman na orthopedic.
Idan kai ko wanda kake ƙauna yana jin zafi a cikin haɗin gwiwa na hip, kada ku yi amfani da kai. Nemi ƙwararrun likita nan da nan. Marasa lafiya tare da ciwo mai tsanani yawanci ana kwantar da su a asibiti a asibiti na akalla mako guda. Idan zafi ba mai tsanani ba, likitoci na iya ba da marasa lafiya jarrabawa don cututtuka na haɗin gwiwa na hip da kuma magani a gida tare da bin duk dokoki.